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脑出血合并中毒性表皮坏死松解症患者的护理:一例报告

Nursing care for a patient with intracerebral hemorrhage complicated with toxic epidermal necrolysis: a case report.

作者信息

Zhang Doudou, Zhang Qiuping, Li Hanhua, Lai Wen, Chen Pingyun

机构信息

Department of Burn and Wound Repair Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, China.

出版信息

Front Med (Lausanne). 2025 Jul 18;12:1587979. doi: 10.3389/fmed.2025.1587979. eCollection 2025.

Abstract

This study summarizes the nursing care for a patient with intracerebral hemorrhage complicated with toxic epidermal necrolysis, focusing on infection prevention and control. Advanced health assessment showed that the primary nursing issue was a high risk of infection. Nursing interventions were implemented to prevent and control infection in various systems, emphasizing four key aspects: respiratory management after tracheostomy, lumbar cistern drainage care, skin management, and nutritional support. The patient's skin healed, infection indicators decreased, and no secondary infections occurred. On the 24 day after admission, the patient was transferred to the neurosurgery department for ventriculoperitoneal shunt surgery. The patient was transferred to a rehabilitation hospital 21 days after surgery.

摘要

本研究总结了1例脑出血合并中毒性表皮坏死松解症患者的护理,重点在于感染的预防与控制。高级健康评估显示,主要护理问题是感染风险高。实施了护理干预措施以预防和控制各系统的感染,重点强调四个关键方面:气管切开术后的呼吸管理、腰大池引流护理、皮肤管理和营养支持。患者皮肤愈合,感染指标下降,未发生继发感染。入院后第24天,患者转至神经外科行脑室腹腔分流术。术后21天患者转至康复医院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5f/12313555/d75354f7c779/fmed-12-1587979-g001.jpg

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